Perimenopause 101: What to Expect

Perimenopause is the transitional period before menopause. It usually starts in a woman's 40s, but can start in her 30s or even earlier.

During this time, your ovaries gradually begin to make less oestrogen. It usually lasts up until menopause, the point when the ovaries stop releasing eggs. In the last 1 to 2 years of perimenopause, this drop in oestrogen speeds up. At this stage, many women have menopause symptoms.

Common Symptoms

• Irregular Periods: As ovulation becomes more unpredictable, the length of time between periods may be longer or shorter, your flow may be light to heavy, and you may skip some periods.
• Hot Flushes: A sudden feeling of heat in the upper part or all of your body. Your face and neck may become red. Red blotches may appear on your chest, back, and arms. Heavy sweating and cold shivering can follow.
• Sleep Problems: You may have insomnia or wake up during the night because of night sweats.
• Mood Changes: Mood swings, irritability, or increased risk of depression may happen during perimenopause.

When to see a doctor

Keep a record of your symptoms. If they are interfering with your daily life or if you notice changes in your period that concern you, schedule a visit with your healthcare provider. Treatments are available to help manage these symptoms.